Individual provider Active NPI

Meleika A Wadley, LCSW

  • School Social Worker
  • Phoenix, AZ
National Provider Identifier
1164735544
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
LCSW-15306 Issued in AZ
Practice address
21253 N 36TH PL
Phoenix Az
Phoenix, AZ 85050-8388
Phone
(216) 659-8109
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X LCSW-15306 AZ Primary
Clinical Social Worker 1041C0700X I. 1200891 OH

Addresses

Primary practice location

21253 N 36TH PL
Phoenix Az
Phoenix, AZ 85050-8388

Mailing address

21253 N 36TH PL
Phoenix Az
Phoenix, AZ 85050-8388
Phone (216) 659-8109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I. 1200891OHMDClinical Social Worker
LCSW-15306AZMDSchool Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1164735544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21253 N 36TH PL",
            "address_2": "PHOENIX AZ",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508388",
            "telephone_number": "216-659-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21253 N 36TH PL",
            "address_2": "PHOENIX AZ",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508388",
            "telephone_number": "216-659-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLEY",
        "first_name": "MELEIKA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "AZ",
            "license": "LCSW-15306",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 1200891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.